28D0959866 CLIA NUMBER - NOC SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 28D0959866
  • Facility Name: NOC SURGERY CENTER, LLC
  • Facility Address: 6900 A STREET SUITE 200
    LINCOLN, NE
    ZIP 68510
  • Facility Phone: 402 436-2020
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MR. DOUG WYATT
  • NPI Number: 1184699878
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 28D0959866
LAB Type Ambulatory Surgery Center
Facility Name NOC SURGERY CENTER, LLC
Street 6900 A STREET SUITE 200
City LINCOLN
State NE
ZIP 68510
Phone 402 436-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2025
Certificate Expiration Date 4/21/2027
Facility Type Ambulatory Surgery Center
Lab Director MR. DOUG WYATT

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This page was last updated on: 9/29/2025